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Welcome back to part 2 of How We Got to Now. Let's press on.
If you're able, this episode is best watched on YouTube. The video presentation includes the slides and supportive material to go along with this audio. You can find the full presentation here: How We Got to Now Video Presentation
If you're looking for more of my philosophical, geopolitical, or macroeconomic content, visit my other podcast, The Sovereign Guide.
More can also be found on my YouTube channel.
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Nobody's making any more land. Everybody needs somewhere to live. Housing had never had a serious decline.
All true. Every word of it. And none of it saved anybody in 2008.
People need to see a dentist. Supply is limited, demand is growing, and dentistry has never seen a meaningful drop in valuations.
Also all true.
I first delivered this presentation in 2021, which means we've had five years to find out whether the math held up. It did and that's not a flex, that's the point.
Cycles are real, mean reversion is a supreme power, and when somebody overpays for an asset there are only two ways out: drive production harder, or cut everything that costs money to run.
Here's how capital found dentistry, and what it does on the way out.
If you're able, this episode is best watched on YouTube. The video presentation includes the slides and supportive material to go along with this audio. You can find the full presentation here: How We Got to Now Video Presentation
If you're looking for more of my philosophical, geopolitical, or macroeconomic content, visit my other podcast, The Sovereign Guide.
More can also be found on my YouTube channel.
Send us Fan Mail
Ever wonder why it seems like most dental partnerships fail? Or even if they don't, they're not entirely effective they way you had hoped? Here's exactly where, when, and how they come apart by design, and the twin fears beneath it.
If you're looking for more of my philosophical, geopolitical, or macroeconomic content, visit my other podcast, The Sovereign Guide.
More can also be found on my YouTube channel.
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"I wore the juice."
That's what he told the police, and he meant it sincerely. He had tested it. And it had worked.
Bertrand Russell put it more elegantly a hundred years ago: the trouble with the world is that the confident are least equipped and the capable are full of doubt.
Both of those people are on your team right now. One is getting the credit. The other is silently cleaning up behind them and starting to resent it.
You already have someone doing a version of this in your practice. The trouble is you can't tell them. Go at the person and you lose. So we go at something else instead.
If you're looking for more of my philosophical, geopolitical, or macroeconomic content, visit my other podcast, The Sovereign Guide.
More can also be found on my YouTube channel.
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Ask most owner docs who their next partner should be and they'll immediately point to their highest producer.
Biggest numbers, fullest schedule ... obviously that person. Who else would it be?
I'd like to suggest that's one of the most expensive assumptions in dentistry that both you, and your associate, are making. Here's why.
If you're looking for more of my philosophical, geopolitical, or macroeconomic content, visit my other podcast, The Sovereign Guide.
More can also be found on my YouTube channel.
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In the prior episode we identified the elements and delivery of a standard reprimand; why it undermines culture, creates an environment of low safety and doesn't stimulate growth. Now, we meet again to deliver the framework to reverse all of those outcomes.
If you're looking for more of my philosophical, geopolitical, or macroeconomic content, visit my other podcast, The Sovereign Guide.
More can also be found on my YouTube channel.
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Have you noticed how often you have to reprimand the same people, or different people with the same problem? The premise of a reprimand is to stimulate growth and change in your organization via processes and the people that drive them. Why then, do our reprimands consistently fail to do just that.
If you're looking for more of my philosophical, geopolitical, or macroeconomic content, visit my other podcast, The Sovereign Guide.
More can also be found on my YouTube channel.
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Not all problems are the same; and treating them like they are is the root of most frustration in your practice.
This powerful three-part framework for categorizing every problem you face will change how you lead, how you communicate, and how you show up for your team every single day.
If you're looking for more of my philosophical, geopolitical, or macroeconomic content, visit my other podcast, The Sovereign Guide.
More can also be found on my YouTube channel.
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Ownership isn't for everybody. Great ownership of a genuinely great enterprise is for very few.
That's not a challenge. It's information, and you're allowed to use it to walk away.
But before you decide, there's an audit worth running on your own instincts; what actually moves you, what leaves you cold, and whether the prospect of having to earn something difficult reads as exciting or as a reason to go find an easier offer down the road.
Whatever you find is the right answer. It just has to be honest.
If you're looking for more of my philosophical, geopolitical, or macroeconomic content, visit my other podcast, The Sovereign Guide.
More can also be found on my YouTube channel.
Send us Fan Mail
I've had nine partners across seven businesses in four industries, on two sides of the world, through the greatest deflation in history and the worst hyperinflation ever recorded.
I've had terrible partners. I've been a terrible partner.
So when I tell you there's a cheat code for becoming the associate that a genuinely valuable practice would fight to bring in as an owner, understand that I paid for it in scar tissue and I'm here to fold time for you.
It has nothing to do with your production. It starts with a sentence most associates find hard to hear.
If you're looking for more of my philosophical, geopolitical, or macroeconomic content, visit my other podcast, The Sovereign Guide.
More can also be found on my YouTube channel.
From the publisher's feed
The Sovereign Dentist
Most dentists got into this for the lifestyle; the freedom, the autonomy, the life only ownership can buy. Most of them aren't living it. The practice…
Hosted by Alastair Macdonald, The Sovereign Dentist is a standing conversation for owners building something durable: a practice you'd never want to sell, a team that makes the business build itself, and the kind of freedom that lets you leave on a Tuesday afternoon without the whole thing crashing down.
We get into the real mechanics - associates and partnership, incentives and equity, standards, and the difficult conversations most owners avoid. No scripts, no hacks. Source code, not tactics, because your problem set is defined by the capabilities of the people you lead, and an entrepreneur's number one job is to stay relevant.
Let me fold time for you so you can enjoy the very freedom you seek.
And when you're ready to go wider — geopolitics, wealth, family, legacy, the architecture of a sovereign life across every domain that matters — that conversation lives on our companion show, The Sovereign Guide.
The Sovereign Dentist Podcast is provided for general educational purposes and does not constitute clinical, legal, tax, accounting, or financial advice. No advisor, consultant, or professional relationship is created by listening. Nothing discussed is a recommendation regarding any specific transaction, partnership, or practice structure. Consult licensed professionals in your jurisdiction before acting. Individual results vary and no outcome is guaranteed.